The client develops shortness of breath during the nursing assessment. Which is the best intervention for the nurse to implement?
1. Collaborate with the provider.
2. Assess the thorax and lungs first.
3. Postpone the assessment until later.
4. Complete the head-to-toe sequence.
2, 3
2 and 3. The nurse potentially needs to postpone the assessment; however, because the client exhibits some distress, the nurse assesses the thorax and lungs first to es-tablish baseline data and plan nursing care.
1. Collaborating with the provider is potentially unnecessary, but it is definitely pre-mature until the nurse completes the respiratory assessment.
4. The nurse completes the respiratory assessment first before determining whether continuing the assessment is proper.
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